HomeMy Public PortalAbout5621 NOEL DR_Plumbing__ 76A667- CE 817 7169 e�
APPLICATION FOR PLUMBING PERM
;r
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER RonDnlc
BUILDING AND SAFETY DIVISION ADAMS s ,Sd 2! Al /YO�.L DEQ
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY T;'/NPL� G/7"
FOR APPLICANT TO FILL IN PR NT O TYPE IWA T �(/�C
NUMBER FIXTURE OR ITEM EACH FEE — CROSS STOWNER
WATER CLOSET 1 50 KAMC
BATH TUB 1 50 DRESS _1!0>',4IJ1 E
SHOWER 1 50 CITY T C- TEL NO 47-7 yj v
LAVATORY 150 CONTRACTOR
SINK 150 ADDS `
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT N GR Z E PR B D BY
LAWN SPRINKLER SYSTEM 2 00
WATER HEATER 1 50 INDU8T8fAL
WASTE APPROVAL n
GAS SYSTEM OUTLETS 1 50 Q 1NSPECTIONi RECORD �*
OUTLETS OVER 30 Z
5 PER SYSTEM
O
1.
i
N
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE APPROVALS DATE INSPECTOR 8 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OB UTILITY CO NOTIFIED
LIClNSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO 44
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE JACK R ALLEN, SUPE VISING MECHANICAL
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK CASH
Ar„ 8 4 9 or X 2 6 5 D 3-50-
A
.50-A
76AMA C,
CLO17(REV 11/78)
APPLICAT ON R PLUM PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS t576al
LOCALITY
WATER CLOSET
NEAREST
9ATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY 7-- TEL NO
DISHWASHER 0 U CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING V
GAS VENT
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST #A
Plan check fee UTILITYCO NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$ 06 ,
TOTAL FEE C3 4,o FINAL
Plan check applicant PLAN CHECK VALIDAT N
Name
Address
City Tel No Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE R /�7 8 Q 1 A
THAT THE ABOVE IS CORRECT AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # 5
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 • • 1 300
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DES IBED RESIDENTIAL
PROPS �/JJ11 1. • • 1 3-005
SIOF PERMS '7��� 1 15
/ 9
D � PRO ED B
INDUSTRIAL
WASTE APPROVAL
'-DEPA3TM -lT'ft-BUILDING AND SAFETY APPLICATION FOB PERMIT /
PLUMBING
F AP (CANT TO FILLAIN DISTRIC NO GROUP I ZONE PER
I
RECEIVED BY READY FOR DATEISSUED
PLUMBER FIRST INSPECTION
ADDRESS
BUILDING
CITYTEL NO ADDRESS
COUNTY e_
LICENSE NO �� �V ��//J EXPIRES LOCALITY�A�D
NEAREST
P RAW FMS. CROSS ST on
NUMBER OWNERMAIL
TYPB OR FIXTURE FEE ,�/
WATER CLOSET (TOILET) @ 050 $ ADDRESS ,/` /Y
r . �
BATH TUB ® 050
CITY TEL NO
SHOWER ® 050 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) ® O 80APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ® Oso AND STATE LAWS REGULATING P ING
I CERTIFY THAT I P THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ® 050 ANGELES COUNT I AM THE LEGAL OWNER
OF THE RESIDEN 1 DESCRIBED ABOVE
GAS SYSTEM UTLETS @ 050
WATER HEATER @ 050 SIGNPAERMITT F
SLOP SINK @ 050 SPECTION RECORD
FLOOR SINK @ 050
FLOOR DRAIN ® 050
DISHWASHER ® 050
DRINKING FOUNTAIN ® Ono
URINAL @ coo
HOUSECONNECTION SEWER EWER ® 030
HOUSE CONNECTION
TO TANK OR CESSPOOL ® 050
MISCELLANEOUS O
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING
GAS PIPING 1� 3
GAS VENT
CESSPOOL ® 106
CESSPOOL
SEPTIC TANK
SEPTIC TANK
DRAIN ( ) PIT ( ) @ 100
SEWER
PERMIT too GAS TEST
TOTAL FEE $ _.lL,o UTILITY CO NOTIFIED
V FINAL 09 z
O17
D & Is as APPLICATION FOR PLUMBING PERMIT
an
t DIVISION OF SU=ING AND SAFETY
Conaty loof==OW lw
WM J FOX. COUNTY ENGINEER BUILDING `
ADDRESS 0 V
CASBATT D GRIFFIN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
OWNERAV" DISTRICT NO GROUP SONE READY FOR INSPRCT1ON
AMAIL
DDRESS
INDUSTRIAL
CI T L NO WASTE APPROVAL
IS INSPECTION RECORD
ADDRESS A66z.AtZri
CITY EL NO y
LICENSE NO L P SK
NUNBRR TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO 0 080 APPROVAL$
DATE INSPEGTOR S SIGNATURE
GAS SYSTEM_ OUTLETS ® 100
UNDER SLAB WORK
WATER HEATER ® 100
ROUGH PLUMBING LIL lll�
PERMIT S 1 00 GAS PIPING
TOTAL FEE 2-DO GAS VENT
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSEDNIAS REQUIRED BY LOS A ELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORA OR THAT I AM TN EGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PR ER
SIGNATURE
OF PERMITTEE'IleFINAL Z Zl S
WILLIAM J FOX,COUNTY ENGINEER ALIDATION
C09 7 8 21R v^V 7 3 200
�►
ST CT
76A667 CE817 S 57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
BUILDING AND SAFETY DIVISION S6 1V�D /4096L
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUPT OF BUILDING M LC
FOR APPLICANT TO FILL IN Q
NUMBER FIXTURE OR ITEM WW OWNS
WATER CLOSE!
BATH TUB A DDA DD s1A "DIC L r2. .
SHOWER CM TEL N I./3 V
LAVATORY n..� CONTRACTOR a V�
SINS ADDRESS IS jE , o w
DISHWASHER C TEL N
LAUNDRY TUB " CON ACTOR STATE
�` REGISTRATION O �i1 S COUNTY
CLOTHES WASHER ,.,,II��''''
DIST: GROUP PE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $100 PER ITEM DATE INSPECTOR S SIGNATURE
OR FIXTURE $ UNDER SLAB WORK
ROUGH PLUMBING 4w 'o
PERMIT S t2.00
GAS PIPING
TOTAL FEEliff f) �.
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG L OWNE OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROP
SIGNATURE
OF PERMITTEE FINAL
Os VALIDATION ROBERT A D
SUPERVISING CHANICAL ENG R
CK M O S
1 0 1 8R DEC 1 5 A 6.0 0
r